Victor So
Pharmacist in Elkhart, IN. Individual provider (NPI-1).
NPI number1972938751
StatusActive
Last updated in NPPESSep 11, 2013
Details
- NPI
- 1972938751
- Entity type
- Individual (NPI-1)
- Name
- Victor So
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2013
- Last updated
- Sep 11, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26025251A | IN | Yes |
Practice location
3551 Cassopolis StElkhart, IN 46514-6743
Phone 224-392-1799
Mailing address
6030 Mission Trl Apt 5Granger, IN 46530-4025
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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